| NPI | 1093100646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ME MD23589) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0060093) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: ME MD23589) | |
| 207P00000X Emergency Medicine (Licence: MA 264348) | |
| 207P00000X Emergency Medicine (Licence: CO DR.0060093) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-07-15 |